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NPI 1639736010
NPI deactivated
1639736010
1639736010 was paid $897K by Medicaid between Aug 2019 and May 2021, across 6 billing codes. Its largest line is 99347, — 76% of everything it billed.
33Billing provider info1639736010
33aNPI1639736010
33bProvider type—
28Total paid$897K
24GClaims7,702
24DCodes billed6
24AFirst – last monthAug 2019 – May 2021
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 859 | $92K | |
| 2020 | 4,157 | $478K | |
| 2021 | 2,686 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99347 | 76% | 5,318 | 1,472 | $680K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 1,301 | 409 | $116K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.7% | 753 | 393 | $60K |
| 90839 | 2.7% | 204 | 94 | $24K | |
| 99341 | 1.0% | 60 | 60 | $9K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 66 | 66 | $8K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.